<html>
<head><title>RTI - Test Form Page</title></head>
<body bgcolor="white" text="black">


	<form action="cgi/upload.cgi" enctype="multipart/form-data" method="post">
	   First Name: <input type = "text" name = "first_name">  <br>

	   Last Name: <input type = "text" name = "last_name">
	   
	   <p>Photo to Upload: <input type="file" name="photo" /></p> 
	   <p>Your Email Address: <input type="text" name="email_address" /></p>
	   
		  <input type="submit" value="Send">
	</form>

</body>
</html>

